Vanessa Lange, PA-C is a medicare enrolled "Physician Assistant" physician in Maple Grove, Minnesota. She went to Duke University School Of Medicine and graduated in 2016 and has 9 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Fairview Express Care and her current practice location is
14500 99th Ave N Ste 100, Maple Grove, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(763) 898-1000.
Vanessa Lange is licensed to practice in Minnesota (license number 12248) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1407307077.
Physician's Profile
| Full Name | Vanessa Lange |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 9 Years |
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| Location | 14500 99th Ave N Ste 100, Maple Grove, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Vanessa Lange attended and graduated from Duke University School Of Medicine in 2016
NPI Data:
- NPI Number: 1407307077
- Provider Enumeration Date: 10/19/2016
- Last Update Date: 04/29/2025
Medicare PECOS Information:
- PECOS PAC ID: 1153601570
- Enrollment ID: I20161130002702
Medical Identifiers
Medical identifiers for Vanessa Lange such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407307077 | NPI | - | NPPES |
| 1407307077 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RX0202X | Internal Medicine - Medical Oncology | 12248 (Minnesota) | Secondary |
| 363A00000X | Physician Assistant | 12248 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Fairview Express Care | 3375645179 | 1733 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Vanessa Lange is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Vanessa Lange, PA-C
1700 University Ave W,
Saint Paul, MN 55104-3727
Ph: () - | Vanessa Lange, PA-C
14500 99th Ave N Ste 100,
Maple Grove, MN 55369-4738
Ph: (763) 898-1000 |
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